Organization
CALIFORNIA EYE PROSTHETICS, INC
Active
Other names
Daniel T. Acosta
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL THOMAS ACOSTA BCO (OCULARIST)
(619) 235-8950
Entity
Organization
Contact information
Practice address
635 C ST, SUITE 502, SAN DIEGO, CA 92101-5318
(619) 235-8950
Mailing address
635 C ST, SUITE 502, SAN DIEGO, CA 92101-5318
(619) 235-8950
Taxonomy
Speciality
Code
Description
License number
State
156FX1700X
Ocularist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DXX00002F
—
CA
01
—
ZZZ54195Y
BLUE SHIELD
CA
Enumeration date
12/01/2011
Last updated
12/01/2011
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